CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Memorial Health Meadows Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $51
Cash Discount Price: $296
vs. Medicare Baseline: 3.81x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Memorial Health Meadows Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $296. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 3.81x the Medicare baseline. Located in One Meadows Parkway, Vidalia, GA.

Cash / Self-Pay

$296

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)

Cash / Self-Pay: $296 (2211%)

Insurance Median: $51 (381%)

Cash: $296 (2211% of Medicare)

Ins. Median: $51 (381% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 381% of the Medicare baseline (a markup of 281%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Ambetter / Centene	$9 - $16	67%
Blue Cross Blue Shield	$13 - $192	97%
Devoted Health	$13	97%
Eon Health Dme	$13	97%
Friday Health	$13	97%
Humana	$13	97%
United	$13 - $167	97%
Vidalia Health	$13	97%
Aetna	$14 - $267	105%
Caresource	$14	105%
Clover	$14	105%
Eon Health	$14	105%
Georgia Assurance	$14	105%
Healthspring	$14	105%
Shared Health	$14	105%
Wellcare	$14	105%
Health One Alliance	$16	119%
Amerigroup	$27 - $46	202%
Pruitt Health	$42 - $71	314%
Peach State	$44 - $74	329%
Memorial Health Plan	$48 - $167	358%
Centurion	$61 - $103	456%
Multiplan	$198 - $335	1479%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $296.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Health Meadows Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.